Personalized Shade Guides

Shadeguides - Cases - Tips and tricks - Direct anteriors
2015-11-16

Class IV restoration using a predictable method with the controled body thickness (CBT) technqiue, mathcing the color with a personalized shade guide

Fig. 1

1 – Initial situation. Fracture of tooth 11 by dental trauma.

Fig. 2

2 – Initial situation. Fracture of tooth 11 by dental trauma.

Fig. 3

3 – Initial situation. Fracture of tooth 11 by dental trauma.

Fig. 4

4 – Wax-up.

Fig. 5

6 – Shade selection with Vita Classical shade guide (A1).

Fig. 6

7 – Shade selection with My Shade Guide recepie (A1).

Fig. 7

8 – Shade selection with My Shade Guide recepie (A1).

Fig. 8

9 – Shade selection with Vita Classical shade guide (A1).

Fig. 9

10 – After rubber dam isolation.

Fig. 10

11 – Testing the silicone guide in position.

Fig. 11

12 – Cleaning the affected dentin with a ceramic drill at low speed (Direct Style by Style Italiano, Komet).

Fig. 12

13 – Making the conservative vestibular bevel with a red Sof-Lex disc (3M ESPE).

Fig. 13

14 – After making the vestibular bevel.

Fig. 14

15 – Selective enamel etching with phosphoric acid (3M ESPE).

Fig. 15

16 – Application of a universal adhesive in the enamel and dentin (Scotchbond Universal, 3M ESPE).

Fig. 16

17- Application of palatal enamel on the silicone key (Filtek Supreme XTE CT effect).

Fig. 17

18 – Palatal enamel on the silicone key in position.

Fig. 18

19 – Artificial palatal enamel.

Fig. 19

20 – Dentin application (Filtek Supreme XTE dentin A1) and calibration for vestibular enamel space (0.5 mm) Missura (LM Arte by Style Italiano).

Fig. 20

21 – Definition of the incisal dentin shape with Fissura (LM Arte by Style Italiano).

Fig. 21

22 – Application of the vestibular enamel (Filtek Supreme XTE enamel A3).

Fig. 22

23 – After the vestibular enamel application.

Fig. 23

24 – Polymerization of the vestibular enamel covering with a layer of glycerin.

Fig. 24

25 – Definition of vestibular anatomy (Finishing Style by Style Italiano, Komet).

Fig. 25

26 – Removal of cervical and interproximal excesses with Excesso (LM Arte by Style Italiano).

Fig. 26

27 – Finishing the restoration with Sof-Lex Spiral discs (3M ESPE).

Fig. 27

28 – Polishing the restoration with Sof-Lex Spiral discs (3M ESPE).

Fig. 28

29 – Immediate result after removing the rubber dam.

Fig. 29

30 – Immediate result after removing the rubber dam.

Fig. 30

31 – Final result after one week.